Filing Deadlines for Provider Appeal Requests at Contracted Acute Care Hospitals

Must be submitted to BCBSNE within 65 calendar days of the date noted on the written denial notification. Requests are to be in writing and must include additional clarifying clinical information to support the request. BCBSNE notifies the provider of the decision within 30 calendar days of receiving all necessary information. 

Mail appeal requests to:

Blue Cross and Blue Shield of Nebraska 
Attn: Appeals Department 
P.O. Box 3248 
Omaha, NE 68180-0001 

Must be submitted to BCBSNE within 21 calendar days of the date noted on the Level One appeal decision notification. Level Two appeal requests must be submitted in writing and must contain at least one of the following: 

• New or clarifying clinical information or 
• A clear statement that the provider is requesting a BCBSNE physician reviewer different from the one who reviewed the Level One appeal 

If neither the clinical information nor the request for a different physician reviewer is included, BCBSNE is not obligated to review the Level Two appeal request. 

Blue Cross and Blue Shield of Nebraska 
Attn: Appeals Department 
P.O. Box 3248 
Omaha, NE 68180-0001 

BCBSNE notifies the provider of the decision within 45 calendar days of receiving all the necessary information. This decision is final.